IndividualActive
Casey Randlov, NP
NPI 1124844980 · Geriatric Medicine (Internal Medicine) Physician · New York, NY
Provider details
- NPI number
- 1124844980
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- F311881-01 (NY)
Mailing address
40 Campbell Ln
East Islip, NY 11730-3621
Registry dates
- Enumerated
- 2024-11-26
- Last updated
- 2024-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.